Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RONALD L BANTA, DPM
ActiveRONALD L BANTA, DPM is a Sports Medicine Podiatrist healthcare provider located in INDIANAPOLIS, Indiana. NPI 1649218785 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1649218785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.164550839667 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
07000296A (IN)07000296A (IN)
Practice Information
- Address
-
3077 E 98TH STINDIANAPOLIS, IN, 462802940Browse IN providers · Browse ZIP 46280
- Phone
- 3178432613
- Fax
- 3175745185
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.